Individual provider Active NPI

Melody Vasquez, FNP

  • Nurse Practitioner
  • Brunswick, GA
National Provider Identifier
1184257560
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN-NP268126 Issued in GA
Practice address
7000 Wellness Way Ste 7210
Brunswick, GA 31522-2286
Phone
(912) 400-8500
NPI assigned
Feb 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN-NP268126 GA Primary

Addresses

Primary practice location

7000 Wellness Way Ste 7210
Brunswick, GA 31522-2286

Mailing address

7000 Wellness Way Ste 7210
Brunswick, GA 31522-2286
Phone (912) 400-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210204000212 NY Practitioner - Nurse Practitioner 1557775491 Reassigns benefits to 1 organization
I20230118000224 GA Practitioner - Nurse Practitioner 1557775491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooperative Healthcare Services IncGroup PAC ID 9830093640, 235 clinicians

Practice addresses (Care Compare)

2415 Parkwood Dr
Brunswick, GA 31520-4722
Phone (912) 466-4079

Hospital & facility affiliations

  • Southeast Georgia Health System- Brunswick Campus Hospital, Brunswick, GA, CCN 110025
  • Southeast Georgia Health System -- Camden Campus Hospital, Saint Marys, GA, CCN 110146
  • Bacon County Hospital Hospital, Alma, GA, CCN 111327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
APRN-NP268126GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health System Physician PC Family CurrentSince Jun 6, 2020 Accepting new patients
Cooperative Healthcare Services Inc CurrentSince May 1, 2025 Accepting new patients

Locations

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

7000 Wellness Way
Ste 7210
St Simons Island, GA 31522
Phone (912) 466-5985

138 W Main St
Cuba, NY 14727
Phone (585) 968-0686

401 N 8th St
Olean, NY 14760
Phone (716) 373-0040

Interoperability endpoints

  • Direct secure messaging: melody.vasquez.p92@direct.aara1.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1184257560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 WELLNESS WAY STE 7210",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315222286",
            "telephone_number": "912-400-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 WELLNESS WAY STE 7210",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315222286",
            "telephone_number": "912-400-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "MELODY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-13",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "APRN-NP268126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.